Non-Steroidal Anti-Inflammatory Drugs Increase Cisplatin, Paclitaxel, and Doxorubicin Efficacy against Human Cervix Cancer Cells

This study shows that the non-steroidal anti-inflammatory drug (NSAID) celecoxib and its non-cyclooxygenase-2 (COX2) analogue dimethylcelecoxib (DMC) exert a potent inhibitory effect on the growth of human cervix HeLa multi-cellular tumor spheroids (MCTS) when added either at the beginning (“prevent...

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Main Authors: Diana Xochiquetzal Robledo-Cadena, Juan Carlos Gallardo-Pérez, Víctor Dávila-Borja, Silvia Cecilia Pacheco-Velázquez, Javier Alejandro Belmont-Díaz, Stephen John Ralph, Betsy Alejandra Blanco-Carpintero, Rafael Moreno-Sánchez, Sara Rodríguez-Enríquez
Format: Article
Language:English
Published: MDPI AG 2020-12-01
Series:Pharmaceuticals
Subjects:
Online Access:https://www.mdpi.com/1424-8247/13/12/463
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author Diana Xochiquetzal Robledo-Cadena
Juan Carlos Gallardo-Pérez
Víctor Dávila-Borja
Silvia Cecilia Pacheco-Velázquez
Javier Alejandro Belmont-Díaz
Stephen John Ralph
Betsy Alejandra Blanco-Carpintero
Rafael Moreno-Sánchez
Sara Rodríguez-Enríquez
author_facet Diana Xochiquetzal Robledo-Cadena
Juan Carlos Gallardo-Pérez
Víctor Dávila-Borja
Silvia Cecilia Pacheco-Velázquez
Javier Alejandro Belmont-Díaz
Stephen John Ralph
Betsy Alejandra Blanco-Carpintero
Rafael Moreno-Sánchez
Sara Rodríguez-Enríquez
author_sort Diana Xochiquetzal Robledo-Cadena
collection DOAJ
description This study shows that the non-steroidal anti-inflammatory drug (NSAID) celecoxib and its non-cyclooxygenase-2 (COX2) analogue dimethylcelecoxib (DMC) exert a potent inhibitory effect on the growth of human cervix HeLa multi-cellular tumor spheroids (MCTS) when added either at the beginning (“preventive protocol”; IC<sub>50</sub> = 1 ± 0.3 nM for celecoxib and 10 ± 2 nM for DMC) or after spheroid formation (“curative protocol”; IC<sub>50</sub> = 7.5 ± 2 µM for celecoxib and 32 ± 10 µM for DMC). These NSAID IC<sub>50</sub> values were significantly lower than those attained in bidimensional HeLa cells (IC<sub>50</sub> = 55 ± 9 µM celecoxib and 48 ± 2 µM DMC) and bidimensional non-cancer cell cultures (3T3 fibroblasts and MCF-10A mammary gland cells with IC<sub>50</sub> from 69 to >100 µM, after 24 h). The copper-based drug casiopeina II-gly showed similar potency against HeLa MCTS. Synergism analysis showed that celecoxib, DMC, and casiopeinaII-gly at sub-IC<sub>50</sub> doses increased the potency of cisplatin, paclitaxel, and doxorubicin to hinder HeLa cell proliferation through a significant abolishment of oxidative phosphorylation in bidimensional cultures, with no apparent effect on non-cancer cells (therapeutic index >3.6). Similar results were attained with bidimensional human cervix cancer SiHa and human glioblastoma U373 cell cultures. In HeLa MCTS, celecoxib, DMC and casiopeina II-gly increased cisplatin toxicity by 41–85%. These observations indicated that celecoxib and DMC used as adjuvant therapy in combination with canonical anti-cancer drugs may provide more effective alternatives for cancer treatment.
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spelling doaj.art-134dac971f804a488c2cc2d6398ae07c2023-11-21T00:48:53ZengMDPI AGPharmaceuticals1424-82472020-12-01131246310.3390/ph13120463Non-Steroidal Anti-Inflammatory Drugs Increase Cisplatin, Paclitaxel, and Doxorubicin Efficacy against Human Cervix Cancer CellsDiana Xochiquetzal Robledo-Cadena0Juan Carlos Gallardo-Pérez1Víctor Dávila-Borja2Silvia Cecilia Pacheco-Velázquez3Javier Alejandro Belmont-Díaz4Stephen John Ralph5Betsy Alejandra Blanco-Carpintero6Rafael Moreno-Sánchez7Sara Rodríguez-Enríquez8Departamento de Bioquímica, Instituto Nacional de Cardiología, Mexico City 14080, MexicoDepartamento de Bioquímica, Instituto Nacional de Cardiología, Mexico City 14080, MexicoLaboratorio de Oncología Experimental, Instituto Nacional de Pediatría, Mexico City 14080, MexicoDepartamento de Bioquímica, Instituto Nacional de Cardiología, Mexico City 14080, MexicoDepartamento de Bioquímica, Instituto Nacional de Cardiología, Mexico City 14080, MexicoMenzies Health Institute Queensland, School of Medical Science, Griffith University, Gold Coast, QLD 4222, AustraliaDepartamento de Bioquímica, Instituto Nacional de Cardiología, Mexico City 14080, MexicoDepartamento de Bioquímica, Instituto Nacional de Cardiología, Mexico City 14080, MexicoDepartamento de Bioquímica, Instituto Nacional de Cardiología, Mexico City 14080, MexicoThis study shows that the non-steroidal anti-inflammatory drug (NSAID) celecoxib and its non-cyclooxygenase-2 (COX2) analogue dimethylcelecoxib (DMC) exert a potent inhibitory effect on the growth of human cervix HeLa multi-cellular tumor spheroids (MCTS) when added either at the beginning (“preventive protocol”; IC<sub>50</sub> = 1 ± 0.3 nM for celecoxib and 10 ± 2 nM for DMC) or after spheroid formation (“curative protocol”; IC<sub>50</sub> = 7.5 ± 2 µM for celecoxib and 32 ± 10 µM for DMC). These NSAID IC<sub>50</sub> values were significantly lower than those attained in bidimensional HeLa cells (IC<sub>50</sub> = 55 ± 9 µM celecoxib and 48 ± 2 µM DMC) and bidimensional non-cancer cell cultures (3T3 fibroblasts and MCF-10A mammary gland cells with IC<sub>50</sub> from 69 to >100 µM, after 24 h). The copper-based drug casiopeina II-gly showed similar potency against HeLa MCTS. Synergism analysis showed that celecoxib, DMC, and casiopeinaII-gly at sub-IC<sub>50</sub> doses increased the potency of cisplatin, paclitaxel, and doxorubicin to hinder HeLa cell proliferation through a significant abolishment of oxidative phosphorylation in bidimensional cultures, with no apparent effect on non-cancer cells (therapeutic index >3.6). Similar results were attained with bidimensional human cervix cancer SiHa and human glioblastoma U373 cell cultures. In HeLa MCTS, celecoxib, DMC and casiopeina II-gly increased cisplatin toxicity by 41–85%. These observations indicated that celecoxib and DMC used as adjuvant therapy in combination with canonical anti-cancer drugs may provide more effective alternatives for cancer treatment.https://www.mdpi.com/1424-8247/13/12/463Bliss-type additivism modelcelecoxibdimethylcelecoxibdrug synergismHeLa cellsresistance index
spellingShingle Diana Xochiquetzal Robledo-Cadena
Juan Carlos Gallardo-Pérez
Víctor Dávila-Borja
Silvia Cecilia Pacheco-Velázquez
Javier Alejandro Belmont-Díaz
Stephen John Ralph
Betsy Alejandra Blanco-Carpintero
Rafael Moreno-Sánchez
Sara Rodríguez-Enríquez
Non-Steroidal Anti-Inflammatory Drugs Increase Cisplatin, Paclitaxel, and Doxorubicin Efficacy against Human Cervix Cancer Cells
Pharmaceuticals
Bliss-type additivism model
celecoxib
dimethylcelecoxib
drug synergism
HeLa cells
resistance index
title Non-Steroidal Anti-Inflammatory Drugs Increase Cisplatin, Paclitaxel, and Doxorubicin Efficacy against Human Cervix Cancer Cells
title_full Non-Steroidal Anti-Inflammatory Drugs Increase Cisplatin, Paclitaxel, and Doxorubicin Efficacy against Human Cervix Cancer Cells
title_fullStr Non-Steroidal Anti-Inflammatory Drugs Increase Cisplatin, Paclitaxel, and Doxorubicin Efficacy against Human Cervix Cancer Cells
title_full_unstemmed Non-Steroidal Anti-Inflammatory Drugs Increase Cisplatin, Paclitaxel, and Doxorubicin Efficacy against Human Cervix Cancer Cells
title_short Non-Steroidal Anti-Inflammatory Drugs Increase Cisplatin, Paclitaxel, and Doxorubicin Efficacy against Human Cervix Cancer Cells
title_sort non steroidal anti inflammatory drugs increase cisplatin paclitaxel and doxorubicin efficacy against human cervix cancer cells
topic Bliss-type additivism model
celecoxib
dimethylcelecoxib
drug synergism
HeLa cells
resistance index
url https://www.mdpi.com/1424-8247/13/12/463
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